Physician
Novant Health Medical Group Coastal Region, LLC
Novant Health Medical Group Coastal Region, LLC was paid $285K by Medicaid between Jun 2021 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoNOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC
WILMINGTON, NC 28401
WILMINGTON, NC 28401
33aNPI1316523822assigned 03/23/2021
33bProvider typeNeurology Physician
28Total paid$285K
24GClaims7,994
24DCodes billed25
24AFirst – last monthJun 2021 – Nov 2024
Compared with peers
Next to other Neurology Physician providers in North Carolina
Rank by total paid#17 of 86
Median peer was paid$55K
This provider vs. median5.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DAVIS, SHALA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 792 | $41K | |
| 2022 | 1,860 | $70K | |
| 2023 | 2,693 | $74K | |
| 2024incomplete | 2,649 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 58% | 3,417 | 2,878 | $164K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.8% | 361 | 322 | $25K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.6% | 486 | 284 | $25K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.9% | 446 | 290 | $17K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.0% | 126 | 92 | $14K |
| M0243 | Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring | 4.4% | 37 | 33 | $12K |
| 95816 | 2.2% | 63 | 55 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.8% | 62 | 58 | $5K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.6% | 32 | 12 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 107 | 90 | $4K |
| 99255 | <1% | 17 | 17 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 17 | 16 | $2K |
13 more codes
| 90837 | Psychotherapy session, about an hour | <1% | 22 | $1K |
| 64615 | <1% | 13 | $1K | |
| 95886 | <1% | 12 | $672.03 | |
| 96127 | <1% | 103 | $283.96 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 82 | $190.07 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 117 | $154.98 |
| 3078F | 0% | 841 | $0.00 | |
| 3077F | 0% | 54 | $0.00 | |
| Q0244 | Injection, casirivimab and imdevimab, 1200 mg | 0% | 18 | $0.00 |
| 3074F | 0% | 1,363 | $0.00 | |
| 3079F | 0% | 169 | $0.00 | |
| 3075F | 0% | 15 | $0.00 | |
| 3080F | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDAVIS, SHALA (RCS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Novant Medical Group, INC. | Charlotte, NC | $2.82M |
| Forsyth Memorial Hospital INC | Lewisville, NC | $338K |
| Forsyth Memorial Hospital INC | Lexington, NC | $299K |
| Novant Medical Group, INC. | Charlotte, NC | $170K |
| Novant Medical Group INC | Charlotte, NC | $128K |
| Forsyth Memorial Hospital, INC | Clemmons, NC | $121K |
| Novant Medical Group. INC. | Lexington, NC | $113K |
| Novant Medical Group, INC. | Charlotte, NC | $106K |
| Novant Medical Group, INC | Kernersville, NC | $104K |
| Novant Medical Group, INC. | Matthews, NC | $88K |
| Novant Medical Group, INC | Cornelius, NC | $73K |
| NMG Affiliate Practice I, LLC | Gainesville, VA | $65K |
| Novant Health Medical Group, LLC | Indian Land, SC | $61K |
| Forsyth Memorial Hospital INC | Winston Salem, NC | $56K |
| Novant Medical Group, INC. | Rock Hill, SC | $50K |
| Novant Medical Group. INC. | Thomasville, NC | $49K |
| Forsyth Memorial Hospital INC | Winston Salem, NC | $47K |
| Forsyth Memorial Hospital INC | Thomasville, NC | $40K |
| Novant Medical Group INC | Charlotte, NC | $38K |
| Novant Medical Group, INC. | Charlotte, NC | $35K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.